CHECK-IN/WEIGH-IN WEEKLY IN ORDER TO MAKE DIET MODIFICATIONS TO REACH YOUR GOAL!

New Client Questionnaire

Name *

Name

First Name

Last Name

Phone *

Phone

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Email Address *

Age *

Height *

Current Weight *

Goal Weight *

Please make a list of when and what you have eaten in the past 24 hours. *

Preferred/Favorite Fruits and Veggies *

Do you have any Dietary Restrictions? If so, please list. *

How many days per week do you lift free weights? *

How many days per week do you do cardio? *

When was the last time you exercised? *

Have you ever fainted? *

Have you ever had a seizure? *

Do you have any medical conditions that you would like to disclose? *

Do you have Asthma or Diabetes? Please list any conditions. *

Do you smoke? If so, what do you smoke and how often?

Do you drink alcohol? If yes, how many drinks per week?

Disclaimer

As with any exercise program, you assume certain risks to your health and safety by BULLFROGFIT. Any form of exercise done incorrectly or without proper form or stretching can cause injury. It is your responsibility to fully warm up and stretch and perform the workouts correctly. It is possible that you may become injured during any exercises in this program, especially if they are done with poor form; BullFrogFiT holds no liability for injuries and recommends that every client and challenger first consult a doctor or their primary care physician before starting any fitness program. BullFrogFiT DOES NOT GUARANTEE results on any of these programs. The programs do have a history for success and a proven track record shown with previous clients and transformations, however results vary based on your fitness history, genetics, and personal motivation. BULLFROGFIT is not a medical doctor, and the advice provided is not meant as a substitute for medical advice. Please consult your doctor before beginning any health or fitness program.

I have read the 'DISCLAIMER'; I certify that BULLFROGFIT holds no liability for any of my own health complications or personal injuries during and after the program.

Privacy Policy *

Your privacy is important to us. Any information you provide to us about yourself whether it be personal or professional; will not be shared, distributed or sold. We will not post anything to our website or social media sites without first receiving your consent. Our programs require you to open up to us and share your personal body

I agree to the Privacy Policy.

I agree to provide 24 hours notice for cancellation of training sessions, or I understand that I will be charged 100% of rate. *

Yes, I agree

How did you hear about us? *

Trainer Choice *

Gym Disclosure *

A gym membership is required as a separate fee and must be purchased prior to the first personal training session.

No refund/cancellation policy *

Failure to provide 24 hours notice for cancellation of personal training session will results in loss of session and 100% of rate will be charged. We have a NO REFUND policy, however sessions CAN be gifted or transferred, but expire after 1 calendar year.